MEDICARE: ALAN E SCHULTZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	33546	NJ

General Provider Information

NPI Number	:	1972510428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN E SCHULTZ MD

Provider Business Mailing Address
First Line	:	516 HAMBURG TPKE
Second Line	:	SUITE 2
City	:	WAYNE
State	:	NJ
Zip	:	07470-2062
Country	:	US
Telephone Number	:	973-595-1444
Fax Number	:	973-595-8777

Provider Business Practice Location Address
First Line	:	516 HAMBURG TPKE
Second Line	:	SUITE 2
City	:	WAYNE
State	:	NJ
Zip	:	07470-2062
Country	:	US
Telephone Number	:	973-595-1444
Fax Number	:	973-595-8777

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	07/01/2010

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